While planning care for a preschool child who has been physically and sexually abused, the nurse includes play therapy because it assists the child to:

Correct Answer: B

Rationale: The correct answer is B: Express feelings that cannot easily be verbalized. Play therapy allows preschool children to express their emotions, trauma, and experiences through play activities, as they may not have the verbal skills to communicate their feelings effectively. This form of therapy helps the child process their emotions and experiences in a safe and non-threatening environment. Incorrect Choices: A: Acting out aggression in an acceptable manner is not the primary goal of play therapy for abused children. It is more about emotional expression and healing. C: Interacting with other children in the appropriate age group is not the focus of play therapy for abused children. The primary goal is to address the trauma and emotional distress. D: Learning adaptive behaviors through acting is not the main purpose of play therapy for abused children. It is more about emotional healing and expression.

Correct Answer: B

Rationale: The correct answer is B: Agnosia. Agnosia is the inability to recognize or identify objects despite intact sensory function. In this case, the client can describe the function of objects but cannot name them, indicating a deficit in object recognition. Apraxia (choice A) is the inability to perform learned movements, aphasia (choice C) is a language impairment, and amnesia (choice D) is memory loss, none of which fully explain the client's presentation.

Correct Answer: B

Rationale: The correct answer is B: Alzheimer's disease. The client's symptoms of memory loss, confusion, and difficulty with daily tasks point towards Alzheimer's disease, a progressive neurodegenerative disorder affecting memory and cognitive function. Vascular dementia (A) typically presents with a history of stroke or cardiovascular disease, which is not indicated in the scenario. Acute delirium (C) is a sudden and fluctuating change in mental status often caused by medical conditions or medications, not a progressive decline like Alzheimer's. Aging (D) is a natural process and does not explain the specific symptoms described.

Correct Answer: C

Rationale: The correct answer is C: Forgetting where he or she lives. In Alzheimer's disease, disorientation to time and place is a common symptom due to memory loss and cognitive decline. Forgetting where one lives directly relates to disorientation, as the individual may not recognize their home or surroundings. Choice A is related to sequencing and executive function, not specific to time and place. Choice B is more associated with language and communication difficulties. Choice D relates to paranoia or mistrust, not specifically related to disorientation to time and place. In summary, the correct answer directly reflects the symptom of disorientation in Alzheimer's disease, while the other choices are related to different cognitive functions.

Correct Answer: B

Rationale: The correct answer is B: Completing a structured abuse assessment protocol. In this scenario, the patient presents with vague somatic complaints that could potentially be indicative of underlying abuse. By completing an abuse assessment protocol, the nurse can uncover any possible abuse the patient may be experiencing, which could be the root cause of their symptoms. This approach is crucial in ensuring the patient's safety and well-being. Choice A is incorrect because assuming the symptoms are solely related to psychiatric issues without exploring other potential causes can lead to overlooking important factors. Choice C is incorrect as suggesting a break from work may not address the underlying issue and could potentially worsen the patient's situation. Choice D is incorrect as taking no action could result in the patient's condition worsening without proper intervention.